Transcription of DEPARTMENT OF ADMINISTRATION - Alaska
1 STATE OF Alaska DIVISION OF MOTOR VEHICLES notice OF change OF address NEW MAILING address CITY STATE ZIP CODE NEW RESIDENCE address (MUST BE A PHYSICAL DESCRIPTION) CITY STATE ZIP CODE PHONE EMAIL DRIVER LICENSE NUMBER DATE OF BIRTH DRIVER LICENSE NUMBER DATE OF BIRTH LICENSE PLATE OR BOAT NUMBER LAST 2 DIGITS OF VIN / HIN LICENSE PLATE OR BOAT NUMBER LAST 2 DIGITS OF VIN / HIN LICENSE PLATE OR BOAT NUMBER LAST 2 DIGITS OF VIN / HIN LICENSE PLATE OR BOAT NUMBER LAST 2 DIGITS OF VIN / HIN PRINTED NAME PRINTED NAME SIGNATURE DATE SIGNATURE DATE List any additional vehicles on the other side of this form. The signature of the licensee is required for each driver license change .
2 Only one signature is required for vehicles. SUBMIT ONLINE AT OR MAIL TO State of Alaska Division of Motor Vehicles 1300 West Benson Blvd Ste 200 Anchorage, AK 99503-3600 Form 401 (Rev. 10/2017)
